| NPI | 1295111557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA M LANGENFELD Office Manager 256-822-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: AL 2542) | |
| 101YP2500X Counselor, Professional (Licence: AL 3080) | |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2023-01-11 |